Securities Transfer Form

Institutional Advancement

Securities Transfer Form (printable only)

(The form below authorizes a banker or broker holding your stock in an account to transfer the shares to UMUC as a gift.)

[Bank or Broker Name]

Dear Sir or Madam:

I currently hold shares in Corporation, held by you for me in account number . As of today, I hereby transfer all right, title, and nterest in these shares to The University of Maryland Foundation, Inc., as a charitable contribution to University of Maryland University College.

Please make this transfer immediately upon your receipt of this letter; and give me written confirmation of the transfer, including specification of the name of the charitable recipient. You may obtain instructions for transfer from the foundation at 301-445-2730 or from the university at 301-985-7154.

Thank you for your assistance.

Sincerely,

________________________

(signature)